Vanessa Pruitt, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12640 Issued in NE

Practice address

312 N Elm St Ste 112
Grand Island, NE 68801-4509

Phone

(308) 210-8487

Fax

(844) 270-3685

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kerry L Alfrey LLC

  dba Alfrey and Pruitt Counseling Services

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1578276564
  Medicare reassignment NPD
• Kerry L Alfrey LLC

  dba Alfrey and Pruitt Counseling

  • Mental Health Counselor
  • Grand Island, NE
  • NPI 1770324246
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1740858943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 S EMPORIA ST APT 1416",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672164730",
            "telephone_number": "402-984-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ELM ST STE 112",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014509",
            "telephone_number": "308-210-8487",
            "fax_number": "844-270-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "VANESSA",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S. Proffitt, M.D.
• Progressive Home Health & Hospice LLC
• Promptcare LLC (PromptCare)
• Prosperity Health and Wellness Clinic
• Kimberli Dawn Prucha, PLMHP
• Jacob Alan Prunty
• Kody Lee Prunty
• Shayla Puncochar
• Mercedes Quintero Medina
• Alicia Rosario Quixan Jimon

• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.